2025 Wellcare ACT Mastery Exam - Broker / Employee ||
100% Correct Solutions.
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? correct answers
Classic
For 2025, Wellcare has 43 new plans going to market correct answers TRUE
Members are no longer required to pay a partial deductible due to the Inflation Reduction
Act. correct answers True
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. correct answers False
CustomPoint® sales material order dates will be posted on Wellcare.com. correct answers
False
Enrollments through Ascend offer the following unique benefits: (Select all that apply.)
correct answers Validation of important data to help prevent incorrect or missing information
Search capabilities for providers and formularies to validate physician and prescription
availability
A Low-Income Subsidy (LIS) member could be assigned one of ____ copay categories
depending on the level of need. correct answers Four
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed
standard Part D benefit design consisting of three phases. Which phase is not included?
correct answers Coverage Gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? correct answers Value Plus
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024. correct answers False
Which will be Wellcare's Preferred Mail Order pharmacy? correct answers Express Scripts®
Pharmacy
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
correct answers Montana
Arizona
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. correct
answers $2.000
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and
Safety Items on select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan).
correct answers True
, Disciplinary actions stemming from the result of a compliance allegation are always
progressive. correct answers False
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench: correct answers All of these
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health
Plan Sales Leader and must indicate: correct answers All of these
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®.
correct answers True
Wellcare's Corporate Office support team can assist with which types of inquiries? correct
answers All of these
From October 1 to October 14, certain activities are not permitted for 2025 sales and
enrollments. These include: correct answers All of these
Wellcare does not need to be informed of informal marketing/sales events at which plans or
materials will be presented or distributed. correct answers False
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) correct answers -Included in any marketing
materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
-Verbally conveyed within the first minute of a sales call.
-Prominently displayed on TPMO websites (regardless of content).
-Electronically conveyed when communicating with a beneficiary through email, online chat,
or other electronic means of communication (regardless of content).
Although options for capturing and submitting Scopes of Appointment (SOAs) vary by health
plan, Wellcare accepts SOAs in which of the following methods? correct answers All of these
Prior to completing the enrollment form, brokers/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists. correct answers True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in
the newly selected plan can cause a sales allegation. correct answers True
Which of the following statements about the Scope of Appointment (SOA) is FALSE?
correct answers An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
Grievance procedures are separate and distinct from initial determination and appeal
procedures. correct answers True
The online Member Portal is available Monday - Friday, 8:00am - 8:00pm. correct answers
False
100% Correct Solutions.
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? correct answers
Classic
For 2025, Wellcare has 43 new plans going to market correct answers TRUE
Members are no longer required to pay a partial deductible due to the Inflation Reduction
Act. correct answers True
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. correct answers False
CustomPoint® sales material order dates will be posted on Wellcare.com. correct answers
False
Enrollments through Ascend offer the following unique benefits: (Select all that apply.)
correct answers Validation of important data to help prevent incorrect or missing information
Search capabilities for providers and formularies to validate physician and prescription
availability
A Low-Income Subsidy (LIS) member could be assigned one of ____ copay categories
depending on the level of need. correct answers Four
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed
standard Part D benefit design consisting of three phases. Which phase is not included?
correct answers Coverage Gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? correct answers Value Plus
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024. correct answers False
Which will be Wellcare's Preferred Mail Order pharmacy? correct answers Express Scripts®
Pharmacy
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
correct answers Montana
Arizona
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. correct
answers $2.000
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and
Safety Items on select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan).
correct answers True
, Disciplinary actions stemming from the result of a compliance allegation are always
progressive. correct answers False
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench: correct answers All of these
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health
Plan Sales Leader and must indicate: correct answers All of these
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®.
correct answers True
Wellcare's Corporate Office support team can assist with which types of inquiries? correct
answers All of these
From October 1 to October 14, certain activities are not permitted for 2025 sales and
enrollments. These include: correct answers All of these
Wellcare does not need to be informed of informal marketing/sales events at which plans or
materials will be presented or distributed. correct answers False
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) correct answers -Included in any marketing
materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
-Verbally conveyed within the first minute of a sales call.
-Prominently displayed on TPMO websites (regardless of content).
-Electronically conveyed when communicating with a beneficiary through email, online chat,
or other electronic means of communication (regardless of content).
Although options for capturing and submitting Scopes of Appointment (SOAs) vary by health
plan, Wellcare accepts SOAs in which of the following methods? correct answers All of these
Prior to completing the enrollment form, brokers/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists. correct answers True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in
the newly selected plan can cause a sales allegation. correct answers True
Which of the following statements about the Scope of Appointment (SOA) is FALSE?
correct answers An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
Grievance procedures are separate and distinct from initial determination and appeal
procedures. correct answers True
The online Member Portal is available Monday - Friday, 8:00am - 8:00pm. correct answers
False
